NPI 1104519966

Wexford Health Solutions

Organisation General Practice Physician Martinsburg, WV

Practice location

Address: 94 Grapevine Rd, Martinsburg, WV 25405-3434
Phone: (630) 730-0302
Mailing address: 4006 Candle Light Dr, Dayton, MD 21036-1141

Authorised official

Name: Nilay B Thaker
Title: Owner
Phone: (630) 730-0302

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in West Virginia →

Registry record

NPI: 1104519966
Entity type: Organization
NPI issued: 30 May 2023
Record last updated: 11 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.